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What type of colonoscopy are you eligible for?

Colonoscopies help prevent and diagnose GI illnesses, and they are one of the best tools gastroenterologists utilize to detect, prevent and treat colorectal cancer. This procedure is either diagnostic or preventive, and each type is covered differently by insurance companies. Talk to your gastroenterologist and insurance provider for details about which type of colonoscopy you will be receiving, as well as coverage options.

Screening Colonoscopy
  • Also known as Routine or Preventive
  • Patient over the age of 45-50
  • Patient has NO gastrointestinal symptoms or disease
  • Patient has NO personal or family history of gastrointestinal symptoms or disease
  • Generally performed every 10 years
High-Risk Screening Colonoscopy
  • Age of the patient may vary
  • Patient has NO gastrointestinal symptoms or disease
  • Patient has personal history of gastrointestinal disease, colon polyps or colorectal cancer
  • Patient has first degree family member with colon polyps or colorectal cancer
    • First degree family member is a sibling, parent, or child
  • Generally performed every 2-5 years
Diagnostic Colonoscopy
  • Age of the patient will vary
  • Patient has gastrointestinal symptoms or disease, AND/OR
  • Patient has personal history of gastrointestinal disease, polyps, or colorectal cancer
  • If the procedure is due to physical symptoms such as rectal bleeding, pain, etc., it is considered diagnostic

Please note that procedures are subject to change based on findings during the procedure.  It is important to understand your benefits for both screening and diagnostic colonoscopies, prior to the procedure. We encourage you to review these benefits with your insurance company.

***Your insurance provider and medical record determines the correct codiging of your claims.  It is not dictated by your benefits or insurance company.**

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